But while a cap would limit the amount some patients have to pay, it wouldn't lower drug prices and taxypayers may end up paying the difference.

Overseas drug prices

One of the most radical, but hazy ideas, is directed at the prescription drug prices that other countries pay — which is often much lower than here in the U.S. In a speech this week, HHS Secretary Alex Azar said the administration is focusing on several problems, including “foreign government free-riding off of American investment in innovation.”

Trump actually met with drugmakers, like Merck and Amgen, during his first month in office and pushed them to make their medications here in the U.S.

At one point, he stated that "we're going to be ending global freeloading." He argued that the price controls foreign companies place on drugs reduces the resources American companies have to finance drug research and development innovation.

The power of the government to negotiate drug prices

For years, Democrats have pushed for the federal government to negotiate drug prices with manufacturers — a concept that Trump also embraced during his presidential campaign.

The National Academy of Sciences specifically recommended that the government should ban tax deductions for drug advertising.

But it doesn’t actually sound like the administration is planning to give the federal government more power to negotiate prices. It wasn't included in the 2019 proposal, and Azar has questioned whether the government could actually get this to happen.

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